DR. DEREK G LEOPOLD MD
NPI 1255645214
Surgery in Longmont, CO

Active since August 02, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501(303) 776-1234(720) 494-3107 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek G Leopold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK G LEOPOLD MD (NPI 1255645214) is an individual surgery provider in Longmont, Colorado, licensed in Colorado (DR.0055469) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2010).

NPPES Registry Identity

NPI1255645214
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DEREK G LEOPOLDCredential: MD
Location Address1925 MOUNTAIN VIEW AVELongmont, CO 80501-3128
Mailing Address1925 Mountain View AveLongmont, CO 80501-3128 · (303) 776-1234 · Fax (720) 494-3107
Fax(720) 494-3107
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2010
Enumeration DateAugust 2, 2010
Last NPPES UpdateSeptember 4, 2015
NPI 1255645214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CO · DR.0055469 Licensed in CO · TL.0003704
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL-3704 (CO)
1925 MOUNTAIN VIEW AVE, Longmont, CO 80501

Other Identifiers 2

Medicare PIN419225YLB8CO
Medicaid16323017CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek G Leopold Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971726696
PECOS Enrollment IDI20150707002338
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Psychiatry & Neurology (Neurology)
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Otolaryngology
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Leopold's NPI number?

The NPI number for Derek Leopold is 1255645214. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Derek Leopold located?

Derek Leopold practices at 1925 Mountain View Ave, Longmont, CO 80501. The listed phone number is (303) 776-1234.

What is Derek Leopold's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Derek Leopold enrolled in Medicare?

Yes. Derek Leopold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Leopold accept?

Health plans from Medica and UnitedHealthcare list Derek Leopold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Leopold was last updated on September 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.